LISA MASHBURN NPI 1730505561

NPI Information

NPI: 1730505561
Provider Name: LISA MASHBURN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
94 ANTRIM ST
CAMBRIDGE, MA
ZIP 02139
Phone: (603) 674-7974
Get Directions

Lisa Mashburn is an obstetrics and gynecology nurse practitioner in Cambridge, MA with 12 years of experience. Lisa Mashburn NPI is 1730505561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

94 ANTRIM ST
CAMBRIDGE, MA
ZIP 02139-102
Phone: (603) 674-7974

The NPI 1730505561 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 6/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	2270007	MASSACHUSETTS	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	2270007	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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